Individual provider Active NPI

Eleni Nouhakis, OD

  • Optometrist
  • West Dundee, IL
National Provider Identifier
1508419540
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011355 Issued in IL
Practice address
1979 Huntley Rd
West Dundee, IL 60118-9301
Phone
(847) 836-2020
NPI assigned
Jul 18, 2019
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X 046.011355 IL Primary

Addresses

Primary practice location

1979 Huntley Rd
West Dundee, IL 60118-9301

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190917003679 IL Practitioner - Optometry 8628308624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1979 Huntley Rd
Dundee, IL 60118-9301
Phone (847) 836-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011355ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Aug 19, 2019 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Aug 19, 2019 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Past Accepting new patients

Locations

310 S Weber Rd
Bolingbrook, IL 60490
Phone (630) 771-0600

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

1114 W Devon Ave
Elk Grove Village, IL 60007
Phone (847) 895-7222

138 N York St
Elmhurst, IL 60126
Phone (630) 279-2020

104 S Washington St
Hinsdale, IL 60521
Phone (630) 323-1100

950 W State Route 22
Lake Zurich, IL 60047
Phone (847) 726-2020

1000 E Ogden Ave
Naperville, IL 60563
Phone (630) 355-9010

2555 W 75th St
Ste 119
Naperville, IL 60540
Phone (630) 225-7020

1979 Huntley Rd
West Dundee, IL 60118
Phone (847) 836-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1508419540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 HUNTLEY RD",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601189301",
            "telephone_number": "847-836-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOUHAKIS",
        "first_name": "ELENI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Dundee, IL

Sources for this page

Verify at the official NPI Registry.